| NPI | 1972744027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD WASEEM KAGZI Medical Director 847-855-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 036091991) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |